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Oxytocin Treatment in Twin Pregnancy Labour

Published online by Cambridge University Press:  01 August 2014

F. Leroy
F. Leroy*
Affiliation:
Department of Obstetrics and Gynecology, Saint-Pierre Hospital, Free University of Brussels

Abstract

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A continuous series of 483 twin deliveries was studied. In 30% of cases, intravenous oxytocic treatment was given for labour induction or to accelerate the first stage. In 13% of twin deliveries this treatment was applied only after the first twin's birth. In the group perfused during cervix dilatation, foetal mortality rate was significantly lower than in the nontreated group. In order to understand the reason(s) for this difference, the following factors were studied in relation to oxytocic treatment: parity, obstetrical complications, second stage duration, abnormal presentations, obstetrical maneuvers, and birth weight. Contrasting with mortality data, Apgar scores of first twins were significantly lower in the oxytocin-treated group. In summary, several variables indirectly linked to oxytocic treatment could have favoured or hampered foetal outcome in the treated group. Therefore, it is difficult to ascertain if the use of oxytocics is helpful in twin pregnancy management. In the majority of cases, however, it may at least be considered harmless.

Keywords

OxytocinTwin LabourObstetrical complicationsPerinatal mortality
Type
Session III: Management of Twin Pregnancy
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 28 , Issue 4 , October 1979 , pp. 303 - 309
Copyright
Copyright © The International Society for Twin Studies 1979

References

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